| NPI | 1083058432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN CHAN President 631-213-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NY 249201) |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2018-09-03 |